Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.

More about Dr. Mahesha

Dr. Mahesha is a renowned Psychiatrist in Chembur East, Mumbai. He is a MBBS. You can visit him at Om Sai Baba Hospital in Chembur East, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Mahesha on Lybrate.com.

Find numerous Psychiatrists in India from the comfort of your home on Lybrate.com. You will find Psychiatrists with more than 29 years of experience on Lybrate.com. You can find Psychiatrists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Hi there ~ I will give you some information regarding the disorder.
Signs and symptoms of a panic attack
Panic attacks often strike when you’re away from home, but they can happen anywhere and at any time. You may have one while you’re in a store shopping, walking down the street, driving in your car, or sitting on the couch at home.
The signs and symptoms of a panic attack develop abruptly and usually reach their peak within 10 minutes. Most panic attacks end within 20 to 30 minutes, and they rarely last more than an hour.
A full-blown panic attack includes a combination of the following signs and symptoms:
Shortness of breath or hyperventilation
Heart palpitations or a racing heart
Chest pain or discomfort
Trembling or shaking
Choking feeling
Feeling unreal or detached from your surroundings
Sweating
Nausea or upset stomach
Feeling dizzy, light-headed, or faint
Numbness or tingling sensations
Hot or cold flashes
Fear of dying, losing control, or going crazy
Is it a heart attack or a panic attack?
Most of the symptoms of a panic attack are physical, and many times these symptoms are so severe that people think they’re having a heart attack. In fact, many people suffering from panic attacks make repeated trips to the doctor or the emergency room in an attempt to get treatment for what they believe is a life-threatening medical problem. While it’s important to rule out possible medical causes of symptoms such as chest pain, heart palpitations, or difficulty breathing, it’s often panic that is overlooked as a potential cause—not the other way around.
Signs and symptoms of panic disorder
Many people experience panic attacks without further episodes or complications. There is little reason to worry if you’ve had just one or two panic attacks. However, some people who’ve experienced panic attacks go on to develop panic disorder. Panic disorder is characterized by repeated panic attacks, combined with major changes in behavior or persistent anxiety over having further attacks.
Signs and symptoms of panic disorder
You may be suffering from panic disorder if you:
Experience frequent, unexpected panic attacks that aren’t tied to a specific situation
Worry a lot about having another panic attack
Are behaving differently because of the panic attacks, such as avoiding places where you’ve previously panicked
While a single panic attack may only last a few minutes, the effects of the experience can leave a lasting imprint. If you have panic disorder, the recurrent panic attacks take an emotional toll. The memory of the intense fear and terror that you felt during the attacks can negatively impact your self-confidence and cause serious disruption to your everyday life. Eventually, this leads to the following panic disorder symptoms:
Anticipatory anxiety – Instead of feeling relaxed and like yourself in between panic attacks, you feel anxious and tense. This anxiety stems from a fear of having future panic attacks. This “fear of fear” is present most of the time, and can be extremely disabling.
Phobic avoidance – You begin to avoid certain situations or environments. This avoidance may be based on the belief that the situation you’re avoiding caused a previous panic attack. Or you may avoid places where escape would be difficult or help would be unavailable if you had a panic attack. Taken to its extreme, phobic avoidance becomes agoraphobia.
Panic disorder with agoraphobia
Agoraphobia was traditionally thought to involve a fear of public places and open spaces. However, it is now believed that agoraphobia develops as a complication of panic attacks. With agoraphobia, you’re afraid of having a panic attack in a situation where escape would be difficult or embarrassing. You may also be afraid of having a panic attack where you wouldn’t be able to get help.
Because of these fears, you start avoiding more and more situations. For example, you might begin to avoid crowded places such as shopping malls or sports arenas. You might also avoid cars, airplanes, subways, and other forms of travel. In more severe cases, you might only feel safe at home.
Situations or activities you may avoid if you have agoraphobia:
Being far away from home
Going anywhere without the company of a" safe" person
Physical exertion (because of the belief that it could trigger a panic attack)
Going to places where escape is not readily available (e. G. Restaurants, theaters, stores, public transportation)
Driving
Places where it would be embarrassing to have a panic attack, such as a social gathering
Eating or drinking anything that could possibly provoke panic (such as alcohol, caffeine, or certain foods or medications)
Adapted from: American Academy of Family Physicians
Although agoraphobia can develop at any point, it usually appears within a year of your first recurrent panic attacks.
Causes of panic attacks and panic disorder
Although the exact causes of panic attacks and panic disorder are unclear, the tendency to have panic attacks runs in families. There also appears to be a connection with major life transitions such as graduating from college and entering the workplace, getting married, and having a baby. Severe stress, such as the death of a loved one, divorce, or job loss can also trigger a panic attack.
Panic attacks can also be caused by medical conditions and other physical causes. If you’re suffering from symptoms of panic, it’s important to see a doctor to rule out the following possibilities:
Mitral valve prolapse, a minor cardiac problem that occurs when one of the heart’s valves doesn't close correctly.
Hyperthyroidism (overactive thyroid gland)
Hypoglycemia (low blood sugar)
Stimulant use (amphetamines, cocaine, caffeine)
Medication withdrawal
Treatment for panic attacks and panic disorder
Panic attacks and panic disorder are treatable conditions. They can usually be treated successfully with self-help strategies or a series of therapy sessions.
Cognitive Behavioral Therapy
Cognitive behavioral therapy is generally viewed as the most effective form of treatment for panic attacks, panic disorder, and agoraphobia. Cognitive behavioral therapy focuses on the thinking patterns and behaviors that are sustaining or triggering the panic attacks. It helps you look at your fears in a more realistic light.
For example, if you had a panic attack while driving, what is the worst thing that would really happen? While you might have to pull over to the side of the road, you are not likely to crash your car or have a heart attack. Once you learn that nothing truly disastrous is going to happen, the experience of panic becomes less terrifying.
Exposure therapy for panic attacks and panic disorder
In exposure therapy for panic disorder, you are exposed to the physical sensations of panic in a safe and controlled environment, giving you the opportunity to learn healthier ways of coping. You may be asked to hyperventilate, shake your head from side to side, or hold your breath. These different exercises cause sensations similar to the symptoms of panic. With each exposure, you become less afraid of these internal bodily sensations and feel a greater sense of control over your panic.
If you have agoraphobia, exposure to the situations you fear and avoid is also included in treatment. As in exposure therapy for specific phobias, you face the feared situation until the panic begins to go away. Through this experience, you learn that the situation isn’t harmful and that you have control over your emotions.
Medication treatment for panic attacks and panic disorder
Medication can be used to temporarily control or reduce some of the symptoms of panic disorder. However, it doesn't treat or resolve the problem. Medication can be useful in severe cases, but it should not be the only treatment pursued. Medication is most effective when combined with other treatments, such as therapy and lifestyle changes, that address the underlying causes of panic disorder.
The medications used for panic attacks and panic disorder include:
Antidepressants. It takes several weeks before they begin to work, so you have to take them continuously, not just during a panic attack.
Benzodiazepines. These are anti-anxiety drugs that act very quickly (usually within 30 minutes to an hour). Taking them during a panic attack provides rapid relief of symptoms. However, benzodiazepines are highly addictive and have serious withdrawal symptoms, so they should be used with caution.
Self-help tips for panic attacks and panic disorder
When it comes to panic attacks, professional treatment and therapy can make a big difference. But there are many things you can do to help yourself, too:
Learn about panic. Simply knowing more about panic can go a long way towards relieving your distress. So read up on anxiety, panic disorder, and the fight-or-flight response experienced during a panic attack. You’ll learn that the sensations and feelings you have when you panic are normal and that you aren’t going crazy.
Avoid smoking and caffeine. Smoking and caffeine can provoke panic attacks in people who are susceptible. As a result, it’s wise to avoid cigarettes, coffee, and other caffeinated beverages. Also be careful with medications that contain stimulants, such as diet pills and non-drowsy cold medications.
Learn how to control your breathing. Hyperventilation brings on many sensations (such as lightheadedness and tightness of the chest) that occur during a panic attack. Deep breathing, on the other hand, can relieve the symptoms of panic. By learning to control your breathing, you develop a coping skill that you can use to calm yourself down when you begin to feel anxious. If you know how to control your breathing, you are also less likely to create the very sensations that you are afraid of.
Practice relaxation techniques. When practiced regularly, activities such as yoga, meditation, and progressive muscle relaxation strengthen the body’s relaxation response—the opposite of the stress response involved in anxiety and panic. And not only do these relaxation practices promote relaxation, but they also increase feelings of joy and equanimity. So make time for them in your daily routine.
I hope this helps

Tip to beat social isolation 1 be part of gathering that interest you dance yoga etc 2 learn new strategies that make you socially adaptive and help you overcome fear and build a good social relationship. 3 master any art or subject well so there is more scoop to be share be admired and inspired other 4 discuss problem b open to suggestions. Implement them discuss them with other. This acts as enhancer n stress buster. 5 think positive negative thoughts act as a base from social isolation. Overcome negative thought having positive self-image n self-acceptance leads to healthy life. 6 there is always a second chance. It is okay to be wrong. Mistake help you grow to learn from them never give up. 7 it is imp to have social interaction as one of the priorities on the to do list. Just presence of other people around automatically leads to positive changes

Hi,
it maybe due to hyperacidity. Take cap. Stomotone 1-1-1 after food for 2-3 weeks and himcocid syrup 2tsf 3 times daily before food to control burning sensation and pain in the stomach and chest. Avoid hot and spicy food. Eat small quantities frequently. Drink plenty of water. Never miss your breakfast. Avoid excess intake of coffee and tea.

Dear lybrate user. I can understand. Smoking is addictive. Therefore usually we employ two methods. First mehod is to create awareness, motivate to quit smoking and assist with quitting. Here mind power plays an important role. Second method is deaddiction therapy. I suggest online deaddiction therapy. Take care.

Hello lybrate user...ADHD is a highly undiagnosed condition in our society. While around 3 to 5 percent of children and young adults have this problem. ADHD is mainly of three types Inattention type, Hyperactivity Type and Combined Type. For ADHD to be diagnosed the minimum criteria for your age of 5 out of 9 symptom list in either one or both the domains of ADHD should be present. Many of the symptoms of ADHD like impulsivity etc are common with borderline personality disorder and hence it warrants a detailed interview. Once the diagnosis is clear a good approach for its treatment can be undertaken. I would suggest you to get in touch for further exploration and a detailed interview.

at your age, memory problems like amnesia, dementia or alzheimer's are not common. Many young people do complain having problems with memory. These problems are due to either they are too busy or due to anxiety and stress. Busy people use organizers or employ a personal assistant because they can't remember every task. You need to understand this. If you still say, you are having memory problems, we need to check your memory using memory test. You may contact a clinical psychologist or neurologist for memory test and further investigation. Take care.

There are too many to list out here but there are a few suggestions which I think will help you significantly. If you are under some stress, there will be difficulty remembering. So if you handled stress better, you will certainly improve. With regard to memory, it is very important that your brain and body is rested well to be able to recall whatever is required, rather comfortably. So, catch a good 8 hours of sleep every night. Puzzles pose problems to the brain that help it to use new pathways and neurons, which give the brain considerable exercise. It taxes the left brain to use logic to solve the myriad possibilities which other activities do not stimulate. Crosswords are excellent for vocabulary learning and use. Jigsaws and rubik cube stimulate different permutations to finally settle on the most likely one. Picture completion and anagrams help approach problem solving from several angles. Do sudoku, and memory co-relation activities and skills. Have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber (whole grains, fruits and vegetables), nuts, avocado, eat dark chocolate, do yoga meditation exercises, etc. You need to check out, if you are stronger visual or auditory. The visual is a better mode than the auditory. However, if you combine the two modes, you will get the best concentration. Short-term memory is a faculty of the left brain, and long-term memory is a feature of the right brain. When people are stressed, they tend to favor the right brain and abandon the left brain, where short-term memory resides. So, it is really very simple: deal with the stress and activate left brain functions. Here are a few suggestions to activate left brain function: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. You may also meet with a counselor to take care of the stress related emotions, and then you will fare better too.

Loss of interest, decreased concentration and attention, feeling low and disturbed sleep or appetite are some of the signs of depression. Consult a psychiatrist who will assess you in detail. If you are feeling suicidal or hopeless, seek professional help immediately.

You are so courageous person that you became the strength of your family at such a young age. If you handle your family at the age of only 16 then you can do a lot at this age.
* think positive.
* do some meditation daily and after meditation speak to your self that I can handle every situation, I have much stamina.
*take proper sleep of at least 8 hours.
* take balanced diet for healthy mind and body.
*share your feelings to your close friend.
*take homeopathic aurum met 30, 4 pills twice daily for one week, and kali phos 6x 4 tablet 4 times daily.

Devotion or bhakti as we call it, is based on love, not fear. Where there is love there is god. Tell your friend not to fear god but to love him. God will never punish only guide. Like the bhagavad gita tells us" lord krishna who is dwelling in everybody's heart, acts as a best wishing friend and purifies the devotee who constantly engages in hearing him" tell your friend that when she says she is scared of god, essentially she is scared of her own self, as god is within every one of us. She need not be afraid of her most trusted friend and guide. Ofcourse if your friend has any questions or wants to talk about this at length she can always talk to someone who is open to this discussion or consult a counsellor and seek help.

Please Continue your current medicine Please Wake up early go for morning walk in greenery daily with relaxed mind Do pranayam and yoga daily Do meditation three times a day Take Saraswatarishta 20 ml twice daily with water Re Consult me on Lybrate after 15 days.

Hello , depression is a mental illness. Just like any other physical illness, it has its symptoms and treatment.
There are lots of treatment options for depression these days including medicines, psychotherapy (counseling), electroconvulsive therapy, transcranial magnetic stimulation, etc.
Untreated depression has its complications which affect a person`s social life, his occupation, apart from the distressing experience of feeling gloomy itself. I could help you more if you share your symptoms in detail in private.
Take care.

Side effects after a particular time for lamotriagene are very rare. But one can not give guarantee that relapse will never occur as mental illness are often recurrent and stress can precipitate second episode.

Stress is a fact of nature in which forces from the inside or outside world affect the individual. The individual responds to stress in ways that affect the individual, as well as their environment. Due to the overabundance of stress in our modern lives, we usually think of stress as a negative experience, but from a biological point of view, stress can be a neutral, negative, or positive experience.

In general, stress is related to both external and internal factors. External factors include the physical environment, including your job, your relationships with others, your home, and all the situations, challenges, difficulties, and expectations you're confronted with on a daily basis. Internal factors determine your body's ability to respond to, and deal with, the external stress-inducing factors. Internal factors which influence your ability to handle stress include your nutritional status, overall health and fitness levels, emotional well-being, and the amount of sleep and rest you get.

Stress has driven evolutionary change (the development and natural selection of species over time). Thus, the species that adapted best to the causes of stress (stressors) have survived and evolved into the plant and animal kingdoms we now observe.

Dear pt, once you quit smoking, you need to wait for a week. During this period, take plenty of vegetable diet and plenty of water. After a week, you need to start with ibt treatment of 6 months course. Take care.

Addiction to smoking and alcohol needs seperate treatment and need to understand what is the extent of addiction and what other problem you are suffering. You need to make a strong commitment and take help appropriately. There is no single drug that can make you stop drinking and smoking, it is a treatment which involves both medicine and counselling